Nuclear Medicine Critique Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
c) Multiple hot spots seen over the bony anatomy.
The following WB bone image represents:
a) an anterior/posterior WB bone scan
b) a patient with epiphyseal growth plate activity
c) a positive image display capability
d) all of the above
The inclusion of SPECT/CT imaging during a bone scan:
a) Allows for shorter imaging times during a bone scan.
b) Provides structural and functional data combined.
c) Provides 3-D anatomical data only.
d) Is necessary in all bone scan studies.
Osteomyelitis is usually evaluated on a bone scan by:
a) Routine delayed imaging only.
b) By perfusion and blood pool imaging alone.
c) 24-hour delayed imaging.
d) 3-Phase study techniques.
The following characteristics best describe a patient with
Paget's disease, EXCEPT:
a) Usually over 55 years old.
b) Usually female.
c) Usually considered a "superscan".
d) alkaline phosphotase in blood.
1. The main technical issue with this WB bone scan is:
a) Improper positioning.
b) Insuflcient data collection.
c) Infiltration of the radiopharmaceutical dose.
d) Poor image quality.
Diffuse bone metastases is usually identified by:
a) Normal bony uptake of the Tc-99m MDP agent.
b) 3-Phase imaging techniques.
, d all of the above
b provides structural and functional data combined
d 3-phase study techniques
b usually female
c infiltration of the radiopharmaceutical dose
c multiple hot spots seen over the bony anatomy
, d) The use of a medium energy collimator during
the imaging process.
1. The use of pinhole collimation while performing a bone
scan:
a) Is best implemented for evaluation of avascular necro-
sis of the hip-femoral joint.
a is best implemented for evaluation of avascular necrosis
b) Is a routine imaging choice for most clinical indica-
of the hip-femoral joint
tions.
c) Provides detail of soft tissue anatomy.
d) Allows the technologist to complete the clinical study
quickly.
A tri-athelete comes to the Nuclear Medicine clinic for a
bone scan. What would be the most typical clinical find-
ings of this scan considering the chief complaint is leg
pain?
d stress fractures
a) Diffuse metastatic disease.
b) Paget's Disease.
c) Osteomyelitis.
d) Stress Fractures.
Getting the patient to void prior to delayed bone scan
imaging:
a) Allows better identification of bony structures in the
pelvis area. d all of the above
b) Provides better opportunity to complete the scan with-
out patient interuption.
c) Removes excessive bladder uptake from the images.
d) All of the above.
Evaluation of patients with joint replacement is fairly rou-
tine as a part of bone scintigraphy in Nuclear Medicine.
, The following are concerns in this patient, EXCEPT:
a) Prosthesis loosening.
b) Prosthesis - bony infection.
d hyper-extension of the neck area during the WB images
c) Technically suflcient static views of that appendage area
for evaluation.
d) Hyper-extension of the neck area during the WB im-
ages.
1. A typical Tc-99m MDP adult bone scan dose is likely to
be:
a) 10-15 mCi. 25 mCi
b) 5 mCi
c) 25 mCi
d) 55 mCi
1. The following scan is most likely a:
a) Bone scan.
d a CSF scan
b) Renal scan.
c) Cerebral Perfusion scan.
d) A CSF scan.
1. Typical cerebral perfusion agents are all of the follow-
ing, EXCEPT:
a) I-123 HMPAO a I-123 HMPAO
b) Tc-99m Ceretec
c) Tc-99m ECD
d) Tc-99m Neurolite
1. A ventriculo-venous shunt is evaluated on a 5 year old
boy post surgical repair for hydrocephalus. If Tc-99m MAA
was injected in the shunt reservoir, proper shunt function
CORRECT Answers
c) Multiple hot spots seen over the bony anatomy.
The following WB bone image represents:
a) an anterior/posterior WB bone scan
b) a patient with epiphyseal growth plate activity
c) a positive image display capability
d) all of the above
The inclusion of SPECT/CT imaging during a bone scan:
a) Allows for shorter imaging times during a bone scan.
b) Provides structural and functional data combined.
c) Provides 3-D anatomical data only.
d) Is necessary in all bone scan studies.
Osteomyelitis is usually evaluated on a bone scan by:
a) Routine delayed imaging only.
b) By perfusion and blood pool imaging alone.
c) 24-hour delayed imaging.
d) 3-Phase study techniques.
The following characteristics best describe a patient with
Paget's disease, EXCEPT:
a) Usually over 55 years old.
b) Usually female.
c) Usually considered a "superscan".
d) alkaline phosphotase in blood.
1. The main technical issue with this WB bone scan is:
a) Improper positioning.
b) Insuflcient data collection.
c) Infiltration of the radiopharmaceutical dose.
d) Poor image quality.
Diffuse bone metastases is usually identified by:
a) Normal bony uptake of the Tc-99m MDP agent.
b) 3-Phase imaging techniques.
, d all of the above
b provides structural and functional data combined
d 3-phase study techniques
b usually female
c infiltration of the radiopharmaceutical dose
c multiple hot spots seen over the bony anatomy
, d) The use of a medium energy collimator during
the imaging process.
1. The use of pinhole collimation while performing a bone
scan:
a) Is best implemented for evaluation of avascular necro-
sis of the hip-femoral joint.
a is best implemented for evaluation of avascular necrosis
b) Is a routine imaging choice for most clinical indica-
of the hip-femoral joint
tions.
c) Provides detail of soft tissue anatomy.
d) Allows the technologist to complete the clinical study
quickly.
A tri-athelete comes to the Nuclear Medicine clinic for a
bone scan. What would be the most typical clinical find-
ings of this scan considering the chief complaint is leg
pain?
d stress fractures
a) Diffuse metastatic disease.
b) Paget's Disease.
c) Osteomyelitis.
d) Stress Fractures.
Getting the patient to void prior to delayed bone scan
imaging:
a) Allows better identification of bony structures in the
pelvis area. d all of the above
b) Provides better opportunity to complete the scan with-
out patient interuption.
c) Removes excessive bladder uptake from the images.
d) All of the above.
Evaluation of patients with joint replacement is fairly rou-
tine as a part of bone scintigraphy in Nuclear Medicine.
, The following are concerns in this patient, EXCEPT:
a) Prosthesis loosening.
b) Prosthesis - bony infection.
d hyper-extension of the neck area during the WB images
c) Technically suflcient static views of that appendage area
for evaluation.
d) Hyper-extension of the neck area during the WB im-
ages.
1. A typical Tc-99m MDP adult bone scan dose is likely to
be:
a) 10-15 mCi. 25 mCi
b) 5 mCi
c) 25 mCi
d) 55 mCi
1. The following scan is most likely a:
a) Bone scan.
d a CSF scan
b) Renal scan.
c) Cerebral Perfusion scan.
d) A CSF scan.
1. Typical cerebral perfusion agents are all of the follow-
ing, EXCEPT:
a) I-123 HMPAO a I-123 HMPAO
b) Tc-99m Ceretec
c) Tc-99m ECD
d) Tc-99m Neurolite
1. A ventriculo-venous shunt is evaluated on a 5 year old
boy post surgical repair for hydrocephalus. If Tc-99m MAA
was injected in the shunt reservoir, proper shunt function
